CompFox AI Summary
The Workers' Compensation Appeals Board affirmed a prior order allowing the applicant to seek treatment outside the employer's medical provider network (MPN) for pain management and internal medicine specialists. This decision was based on the employer's failure to schedule timely appointments with specialists within the MPN, as required by regulations. The Board declined to address the employer's request to limit the duration of out-of-network treatment, as this issue was not raised or adjudicated in the initial proceedings. The applicant had sustained a 2005 injury resulting in 100% permanent disability.
Full Decision Text1 Pages
The Workers' Compensation Appeals Board affirmed a prior order allowing the applicant to seek treatment outside the employer's medical provider network (MPN) for pain management and internal medicine specialists. This decision was based on the employer's failure to schedule timely appointments with specialists within the MPN, as required by regulations. The Board declined to address the employer's request to limit the duration of out-of-network treatment, as this issue was not raised or adjudicated in the initial proceedings. The applicant had sustained a 2005 injury resulting in 100% permanent disability.
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